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General NPI Number Information
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NPI Number | 1710443627
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Entity Type | Organization
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Legal Business Name | TOTAL LIFE OF HOUSTON, LLC DBA J FLOWERS HEALTH INSTITUTE
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Dates
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Enumeration Date | 02/15/2019
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 109 N POST OAK LANE #500
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City | HOUSTON
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State | TX
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Zip | 77024
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Country | US
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Telephone | 713-783-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 109 N POST OAK LANE #500
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City | HOUSTON
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State | TX
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Zip | 77024
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMISSIONS SPECIALIST
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Name | OLIVIA POTTER
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Credential |
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Telephone | 346-208-3296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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